KMID : 1170320210270020001
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Korean Journal of Health Economics and Policy 2021 Volume.27 No. 2 p.1 ~ p.21
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The Introduction of Bundled Payment System in Three countries and Its Implications for Korea
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Seo Eun-Won
Wee Se-Ah Shin Yang-Jun Lee Keun-Jung Lee Jin-Yong
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Abstract
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This study aims to offer policy implications for introducing the bundled payment system in Korea by looking into other countries¡¯ experience. Three countries, which include the United States, the United Kingdom, and Australia, were selected through the method of purposive sampling. These countries have adopted Bundled payment models with the aims of improving the quality of care, reducing cost, and enhancing care coordination, while addressing the limitations of existing payment systems. The U.S. and the U.K.¡¯s application of bundled payment models focuses on certain conditions or treatments, and Australia¡¯s targets chronic condition management. The introduction of the bundled payment system in these countries resulted in having a positive effect on managing the quality of care and reducing medical spending. Such results suggest that Korea may consider introducing pilot initiatives that implement bundled payment models for certain conditions, with clearly identifiable targets, which require comprehensive and continuous services. Pilot implementations of the system will provide an opportunity to examine applicability of the system and improve the details, which, in turn, will contribute to making policies for enhancing financial sustainability of Korea¡¯s health insurance system.
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KEYWORD
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Payment system, Bundled payment, Quality management in healthcare, Cost-reduction
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